Individual
JANICE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2507 LYNN LAKE CIR S APT A, ST PETERSBURG, FL 33712-6165
(727) 244-5250
Mailing address
2507 LYNN LAKE CIR S APT A, ST PETERSBURG, FL 33712-6165
(727) 244-5250
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2020
Last updated
03/21/2020
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